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Inflammatory Breast Cancer

Inflammatory Breast Cancer-image

Overview

Inflammatory breast cancer (IBC) is a rare and aggressive form of breast cancer that affects the skin of the breast. Unlike typical breast cancer, IBC doesn’t usually present as a lump. Instead, it causes rapid breast swelling, redness, and skin changes. Let’s delve deeper into the specifics of IBC, focusing on its types, causes, symptoms, prevention, complications, diagnosis, treatment, and when to seek medical attention.

Types of Inflammatory Breast Cancer

  1. Classic IBC: This is the most common type of IBC. It is characterized by diffuse breast inflammation and noticeable skin changes.
  2. Inflammatory Carcinoma: A subtype of IBC with more pronounced skin involvement. It tends to spread rapidly.
  3. Inflammatory Adenocarcinoma: A rare variant that combines features of IBC and adenocarcinoma. It requires specialized management.

Causes of Inflammatory Breast Cancer

Inflammatory breast cancer begins when an abnormal cell develops in a milk duct. Due to mutations in its DNA, the abnormal cell grows and divides rapidly. These cancer cells block lymph vessels in the skin, leading to swelling and skin changes.

Risk Factors of Inflammatory Breast Cancer

Several factors increase the risk of developing IBC:

  • Age: IBC tends to occur in younger women, typically under 40 years old.
  • Race: Black women are more likely to develop IBC than White women.
  • Weight: Overweight or obese women have a higher risk of IBC.

Symptoms of Inflammatory Breast Cancer

The symptoms of IBC can develop rapidly, usually within 3 to 6 months. Pay attention to the following signs:
1. Skin Swelling (Edema): The affected breast becomes swollen and feels heavy.
2. Redness: More than one-third of the breast may appear red.
3. Skin Thickening: The skin may resemble an orange peel texture.
4. Nipple Changes: The nipple may retract or invert.
5. Asymmetry: Breast swelling causes unevenness.
6. Warmth, Heaviness, and Tenderness: The breast feels warm and tender.
7. Itching: Persistent itching can be a symptom.
8. Swollen Lymph Nodes: Lymph nodes under the arms or near the collarbone may enlarge.

Preventions of Inflammatory Breast Cancer

While specific preventive measures for IBC are not well-defined, consider the following:

  • Healthy Lifestyle: Maintain a balanced diet, exercise, and avoid smoking.
  • Regular Breast Self-Exams: Be aware of any changes in your breasts.
  • Early Detection: Regular mammograms and clinical breast exams are crucial.

Diagnosis of Inflammatory Breast Cancer

  • Clinical Assessment: A specialist, such as a breast surgeon, evaluates symptoms and performs physical exams.
  • Biopsy: Tissue samples confirm the diagnosis of IBC.
  • Imaging: Mammograms, ultrasounds, and MRI scans help assess the extent and stage of the cancer.
  • Lymph Node Biopsy: Determines lymph node involvement.

Treatment for Inflammatory Breast Cancer

  • Multimodal Approach: Treatment combines chemotherapy, surgery, radiation, and targeted therapies.
  • Neoadjuvant Therapy: Shrinks tumors before surgery.
  • Surgery: Mastectomy (removal of the affected breast) is common.
  • Radiation: Targets any remaining cancer cells.
  • Targeted Therapies: Block specific cancer-related molecules.
  • Clinical Trials: Investigational treatments may be considered.
  • Supportive Care: Helps manage symptoms and side effects.

When to seek medical attention ?

If you experience any symptoms suggestive of IBC, seek medical attention promptly. Early diagnosis improves outcomes.

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